| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,312 |
1,075 |
$47K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,086 |
877 |
$28K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
39 |
24 |
$16K |
| 99253 |
|
255 |
82 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,893 |
1,581 |
$12K |
| 64642 |
|
220 |
167 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
88 |
69 |
$5K |
| 64643 |
|
122 |
90 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
144 |
120 |
$2K |